NLA Open Gym Registration

Athlete First and Last Name

Last Name
Athlete Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Current Grade
Sport
Open Gym Date(s) Attending
Parent/Guardian First and Last Name

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Has your athlete played for NLA?
Optional Advance Payment

If you’d like to pay in advance, you’re welcome to do so using Venmo or Zelle. Otherwise, payment can be made at check-in.

Venmo: @nlaredding
Zelle: nextlevelathletics.club@gmail.com

Please include the athlete’s name in the payment note.
Have you already paid?
Do you consent to photo/video of your child being used for NLA purposes?
Parent/Guardian Name (Type to acknowledge and sign)

First NameLast Name
Should be Empty: